颈静脉孔区神经鞘瘤的诊断及显微外科治疗

目的探讨颈静脉孔区神经鞘瘤的诊断及显微手术治疗方法。方法回顾分析我院2003年至2008年5例诊断为颈静脉孔区神经鞘瘤的患者临床资料。结果术后病理均证实为神经鞘瘤。全切肿瘤3例,次全切2例。术后3例有声音嘶哑伴吞咽困难,1例面部感觉麻木伴面瘫,随访中逐渐好转,1例听力丧失,余术后面神经和听神经功能均有所改善。结论根据临床症状和CT、MRI相结合可以进行正确诊断和肿瘤的分型。选择最佳手术入路,达到以最小的创伤而获得最佳的手术效果。

Diagnosis and microsurgical treatment of jugular foramen schwannomas

Objective To analysis the diagnosis and microsurgical treatment of jugular foramen schwannomas （JSF）. Methods Clinical data of 5 patients diagnosed as JFS between 2003 to 2008 were analysed retropectively. Results All tumors were confirmed schwannomas by pathological sections. Total tumor removal was achieved in 3 patients, subtotal removal in 2 cases. 3 patients have hoarseness and dysphagia after operation, one patient had facial numbness and facial palsy, but gradually improved. One has anacousia, the others＇ function of facial and acoustic nerve were greatly improved. Conclusions Clinical symptoms and imaging data （CT, MRI ）could provide sufficient information for the correct diagnosis and tumor classification, selecting the best operative approach, to achieve the goal of less invasive for better surgical results.